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Medanta Vattikuti Institute of
Robotic Surgery

Dr Naresh Trehan
Chairman, Vattikuti Institute of Robotics Surgery & CMD Medanta - The Medicity

Slideshow Image 1 I am delighted to announce the launch of Medanta Vattikuti Institute of Robotics Surgery (MVIRS)...... read more>>
What is robotic surgery?
This is a surgery performed by surgeons using a computer that controls very small instruments attached to a robot. It is therefore, also referred to as computer assisted Minimally Invasive Surgery (MIS).
Robotic surgery is safe and is performed through very small incisions (fingertip size). Robot itself does not perform surgery, though the name so indicates, this surgery is performed by a surgeon who is assisted by a robot and a computer console. Hence, it’s the surgeon’s dexterity and experience that is key for success of this advance surgical technique
How is robotic surgery performed?
For this procedure, surgeon sits at a console (computer), from where he controls the movements of fine instruments attached to the robotic arms. Robot acts exactly the way the surgeon does sitting at the console, hence the robotic instruments are under the control of the surgeon – the only difference being that the surgeon’s hands do not directly touch the human body during the surgery.
What are the benefits of robotic surgery as compared with traditional methods of surgery?
Robotic surgery is technologically more advanced thus it helps surgeons conduct complex surgeries with ease. Robotic arms are steadier, more precise and can access the interior of the human body much easily than a human hand can. Thus, this surgery provides greater precision, increased motion range, improved dexterity to surgeons
Also the 3D view provided by the camera captures more than a human eye can, thus the enhanced visualization due to 3D effect improves access, quality of surgery and its outcome From patients perspective some of the benefits include-
  • precise operation with higher accuracy
  • shorter hospital stay
  • less pain
  • lower risk of infection
  • less blood loss, thus fewer transfusions
  • less scarring with minimal incisions
  • faster functional recovery
What are the benefits of robotic surgery as compared with traditional methods of surgery?
There are three kinds of robots-
  • Active robots – these robots are self operated and do not require any command or manual support to function
  • Semi active robots – these robots need some degree of manual support to function
  • Master slave robots – as the name suggests, these robots are totally dependent on manual support.
For all robotic surgical procedures at Medanta the master slave robot is used. We have da Vinci SI HD robotic surgical system, which works as a master slave surgical system, functioning on the commands of our surgeons, replicating their action/movement real time during surgical procedures
What is the role of the surgeon in robotic surgery?
Like all traditional surgeries, in case of robotic surgery too it is an experienced surgeon who creates successful outcomes. It is the surgeon who conducts these surgeries using a robot and a computer to guide his actions, and he keeps control on all the surgical procedures. Though robot enables technologically advanced actions, they are incapable of replacing a qualified experienced surgeon, thus robot is more of an enabling tool for a deft surgeon.
Is robotic surgery more expensive than traditional surgery?
On an average, a robotic procedure costs about INR 50,000 – 75,000 more than an open/traditional surgery. Since robot is expensive, the additional cost of the surgery is directly attributable to the robotic instruments used for performing the procedure.
All other costs associated remain the same as compared to any conventional, open or laparoscopic surgery.
At a minimal additional cost, patients benefit with precise operations involving less complications, scarring, blood loss, reduced hospital stay and faster functional recovery- advantages that ensure better quality of life
Is there any difference in the length of stay of the patients undergoing robotic surgery?
Compared to an open surgery, the length of hospital stay for a patient undergoing robotic surgery is much less. Such patients are usually discharged within 2-3 days
Is there a difference in anesthesia given for robotic surgery?
No, the anesthesia remains the same.
Why do we need a new technique for minimally invasive surgery?
Traditionally minimally invasive laparoscopic surgical techniques are most commonly used for routine procedures, but these techniques have their limitations of standard 2D video and rigid instruments that surgeons have to use. Laparoscopic instruments and the video monitor do not provide surgeons with quality visualization required to perform complex surgeries. Through robotic surgery it becomes easier and less time consuming in order to perform complex surgeries.
Considering the limitations of traditional laparoscopic surgical techniques, a new & more advanced technique of minimally invasive surgery is a very effective alternative
What surgeries can be performed with robotic assistance?
Medanta Vattikuti Institute of Robotic Surgery offers most advanced minimally invasive surgical procedures using da Vinci SI HD surgical system. Some the surgeries that can be performed using robot are-
  • Robotic Cardiac Surgery for coronary bypass, implantation of lead, valve repair & valve replacement, congenital defects
  • Robotic Urology Surgery for prostate cancer, kidney cancer, bladder cancer, adrenal tumors, nephrectomy, reconstruction of urinary bladder
  • Robotic Gynaecology Surgery for hysterectomy, myomectomy, ovarian surgery, tubal surgery, lymph node removal.
  • Robotic Liver Transplant Surgery for donor liver hepatectomy
  • Robotic GI Surgery for hernia repair, pancreatectomy, gastrectomy, cholecystectomy
  • Robotic Thoracic Surgery for lobectomy, thymectomy, resection of mediastinal mass
  • Robotic ENT Surgery for transoral surgery, complex OSA surgery
  • Robotic Head & Neck Surgery for tongue cancer, thyroid cancer

Why is Medanta’s robotic institute referred as Medanta Vattikuti Institute of Robotic Surgery?
Medanta – The Medicity has collaborated with Vattikuti Foundation, USA to bring to India world renowned and highly experienced surgeons to impart training, share experience and collective wisdom to provide positive & afforable surgical treatments to patients. The main objective of this collaboration is to establish a state of the art multispecialty robotic facility under one roof.
How is it ascertained whether a patient is fit for robotic surgery?
Surgeons take the decision on case to case basis considering whether robotic surgery will be beneficial for the patient, if so, robotic surgery is advised with details on the procedure, implications, benefits, costs and time. Most patients make the choice based on recommendations of surgeons
What is special about Medanta’s robotic surgery centre?
Robotic surgeries at Medanta- the Medicity are conducted by the best trained, highly experienced doctors some of whom are pioneers of robotic surgery in the country in their respective specialties. Our robotic surgery team is supported by world’s best infrastructure, which is equipped to handle most complex surgical procedures for allied specialties & sub-specialties, covering operative and post operative care & support. The da Vinci SI HD surgical system used by us is the most advanced robotic system in the world.
Is it possible to contact a patient who has undergone robotic surgery at Medanta?
Yes, Medanta has a large database of patients (across specialties) who have undergone robotic surgeries at our hospital. In case a patient is keen to consult or speak with any one of them to understand their experiences, they can do so through our robotics team.

To schedule an appointment or obtain information about Medanta Vattikuti Institute of Robotic Surgery, please contact
Loveleena Ahuja
Tel: +91 124 4141 414 +91 124 4834 469, +91 8527 690 674
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